Individual provider Active NPI

Peyton Gemmell, OTR/L

  • Occupational Therapist
  • Raleigh, NC
National Provider Identifier
1558243147
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17750 Issued in NC
Practice address
3101 Summit CV Apt 207
Raleigh, NC 27613-3980
Phone
(919) 802-5805
NPI assigned
Jul 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17750 NC Primary

Addresses

Primary practice location

3101 Summit CV Apt 207
Raleigh, NC 27613-3980

Mailing address

3101 Summit CV Apt 207
Raleigh, NC 27613-3980
Phone (919) 802-5805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17750NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Light Minded OT PLLC Occupational Therapist CurrentSince Jul 28, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1558243147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 SUMMIT CV APT 207",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133980",
            "telephone_number": "919-802-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 SUMMIT CV APT 207",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133980",
            "telephone_number": "919-802-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMMELL",
        "first_name": "PEYTON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "17750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.